Failure to Implement Weight Management Interventions
Penalty
Summary
The facility failed to implement timely interventions for weight management for a resident diagnosed with Gastro-Esophageal Reflux Disease with Esophagitis and Abnormal Weight Loss. Upon admission, the resident's weight was recorded at 135.1 lbs, but over the following months, the resident experienced a significant weight loss, dropping to 113.4 lbs by December. A Nutrition Assessment Note by the Registered Dietitian on October 2, 2024, highlighted the significant weight loss and recommended weekly weight monitoring and a daily house shake to support oral intake. However, the facility did not conduct or record the recommended weekly weights for the resident, as confirmed by an interview with the Registered Dietitian.
Plan Of Correction
Resident R181 weekly weights obtained and recorded. Dietician to conduct initial audit on residents recommended for weekly weights in the past 30 days to ensure weekly weights obtained and recorded. NPE / DON / Designee to re-educate professional nurses on obtaining and recording weekly weights per dietician recommendations. Dietician to conduct weekly audits X 4 then monthly X 2 on residents recommended for weekly weights to ensure weights taken and recorded. Dietician will report the findings of the audits to the QAPI Committee X 3 months.